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Pa�,N Environmental Health Department <br /> SAKAAQUIN p <br /> kQ p a' <br /> COUNTY <br /> gclFGreatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: Wil q ���Ill r, / �� I I >/ ((�I DATE:•12-t 1262L <br /> ADDRESS: I YM 1 )01 1�d , CITY: �/'Xl� j ZIP CODE: <br /> OWNER/OPERATOR: W t �/� I (����"�l TELEPHONE#: <br /> � fi1 � I `1 'Mut <br /> TYPE OF INSPECTION: ❑ COMPLAINT A CONSULTATION ❑ OTHER PROGRAM jj``�� ., RECOR <br /> ELEMENT: �L u`, ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> 1 <br /> OBSERVATIONS/COMMENTS: <br /> 1 l� AfiWN6 � 1 <br /> wnk tAww <br /> CORRECTIVE ACTIONS: <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: ^�� DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />